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AmeriBest Home Care · 3 days ago

Quality Assurance Associate

Philadelphia, PA

Full-time

Onsite

Entry Level

1+ years exp

AmeriBest Home Care is a company focused on delivering high-quality client care services. The Quality Assurance Associate will investigate, manage, and resolve incidents affecting quality care, ensuring compliance with regulatory standards and providing education to staff.

Health CareHospital

Responsibilities

Conducts investigations for both the Personal Care and Developmental Care service lines. These investigations involve obtaining witness statements and interviews, securing evidence, retrieving information from electronic surveillance, reviewing staff schedules, compiling information from the agency’s EHR system, and developing a chronological summary of factual findings from occurrence to closure. Depending on the incident, investigations may require traveling into the field to client homes to conduct investigations. (Coverage area: Philadelphia, Bucks, Montgomery, Delaware and Chester counties)

Completes and maintains Certified Investigator credential status from the PA Office of Development Program (ODP). Conducts investigations in accordance with ODP regulations

Complies with required incident management reporting timeframes, ensuring investigations are filed, finalized or extended according to the timelines set forth by regulatory and agency standards to maintain speed, objectivity, and thoroughness

Attends to all reportable data entry in the PA Enterprise Incident Management (EIM) System and documents all case activity for internal records

Investigates potential fraud events and complaints involving client or caregiver safety. Makes recommendations for resolution, documents actions taken, and analyzes issues to prevent recurrence

Provides education, guidance, and training to employees regarding incidents, complaints, and potential fraud events

Engages in Administrative Reviews and Certified Investigation Peer Reviews to ensure processes meet regulatory standards

Establishes rapport with staff, caregivers, clients, providers, families, and outside agencies to coordinate investigations

Compiles, trends and reports quality data to analyze why incidents occur and how recurrences can be prevented

Assists the Director of Quality & Clinical Management in the administration of the agency’s quality improvement plans, infection control program, and accreditation standards

Assists the Compliance Officer in monitoring the agency’s compliance with regulatory mandates. Assists with the preparation of plans of correction for state surveys and auditing bodies

Performs other duties as assigned by the Chief Compliance Officer

Qualification

Certified InvestigatorAnalytical skillsQuality improvementMicrosoft 365 proficiencyClinical knowledgeDeadline orientedProblem solvingTeamworkCommunicationCustomer focusedAttention to detail

Required

A bachelor's degree in social work, behavior sciences, human services, or a related field

At least one (1) years' experience in home care, social work, case management, or hospital discharge planning

Must have and maintain a valid Driver's License, a good driving record, maintain automobile insurance coverage, and have access to a reliable automobile

Ability to work occasional evenings and weekends to conduct investigations in client homes

Currently hold a PA-Office of Development Program (ODP) Certified Investigator certificate or must successfully complete this certification within 12 months of hire